Late-Onset Neutropenia after Rituximab Treatment for Adult-Onset Nephrotic Syndrome

A 41-year-old woman developed nephrotic syndrome at the age of 32 and was diagnosed with minimal change nephrotic syndrome based on a renal biopsy. Although remission was achieved with administration of prednisolone (PSL) and cyclosporine, the nephrotic syndrome recurred. She was also started on rit...

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Main Authors: Mayuko Yamazaki, Hidekazu Sugiura, Yosuke Iwatani, Mizuki Kyoda, Hirohiko Nokiba, Nobuyuki Amemiya, Kosaku Nitta, Ken Tsuchiya
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2019/3580941
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author Mayuko Yamazaki
Hidekazu Sugiura
Yosuke Iwatani
Mizuki Kyoda
Hirohiko Nokiba
Nobuyuki Amemiya
Kosaku Nitta
Ken Tsuchiya
author_facet Mayuko Yamazaki
Hidekazu Sugiura
Yosuke Iwatani
Mizuki Kyoda
Hirohiko Nokiba
Nobuyuki Amemiya
Kosaku Nitta
Ken Tsuchiya
author_sort Mayuko Yamazaki
collection DOAJ
description A 41-year-old woman developed nephrotic syndrome at the age of 32 and was diagnosed with minimal change nephrotic syndrome based on a renal biopsy. Although remission was achieved with administration of prednisolone (PSL) and cyclosporine, the nephrotic syndrome recurred. She was also started on rituximab (RTX). She developed late-onset neutropenia after RTX treatment (R-LON) and improved 17 days later. Although the majority of R-LON cases undergo spontaneous remission, cases of death have been reported. This report is intended to warn about R-LON, since the use of RTX for adult-onset nephrotic syndrome is expected to increase in the future.
format Article
id doaj-art-1f68a72095f34a97aa11951ea8f35458
institution Kabale University
issn 2090-6641
2090-665X
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Nephrology
spelling doaj-art-1f68a72095f34a97aa11951ea8f354582025-02-03T05:50:51ZengWileyCase Reports in Nephrology2090-66412090-665X2019-01-01201910.1155/2019/35809413580941Late-Onset Neutropenia after Rituximab Treatment for Adult-Onset Nephrotic SyndromeMayuko Yamazaki0Hidekazu Sugiura1Yosuke Iwatani2Mizuki Kyoda3Hirohiko Nokiba4Nobuyuki Amemiya5Kosaku Nitta6Ken Tsuchiya7Department of Nephrology, Division of Medicine, Saiseikai Kurihashi Hospital, Saitama, JapanDepartment of Nephrology, Division of Medicine, Saiseikai Kurihashi Hospital, Saitama, JapanDepartment of Nephrology, Division of Medicine, Saiseikai Kurihashi Hospital, Saitama, JapanDepartment of Nephrology, Division of Medicine, Saiseikai Kurihashi Hospital, Saitama, JapanDepartment of Nephrology, Division of Medicine, Saiseikai Kurihashi Hospital, Saitama, JapanDepartment of Nephrology, Division of Medicine, Saiseikai Kurihashi Hospital, Saitama, JapanDepartment of Nephrology, Tokyo Women’s Medical University, Tokyo, JapanDepartment of Nephrology, Tokyo Women’s Medical University, Tokyo, JapanA 41-year-old woman developed nephrotic syndrome at the age of 32 and was diagnosed with minimal change nephrotic syndrome based on a renal biopsy. Although remission was achieved with administration of prednisolone (PSL) and cyclosporine, the nephrotic syndrome recurred. She was also started on rituximab (RTX). She developed late-onset neutropenia after RTX treatment (R-LON) and improved 17 days later. Although the majority of R-LON cases undergo spontaneous remission, cases of death have been reported. This report is intended to warn about R-LON, since the use of RTX for adult-onset nephrotic syndrome is expected to increase in the future.http://dx.doi.org/10.1155/2019/3580941
spellingShingle Mayuko Yamazaki
Hidekazu Sugiura
Yosuke Iwatani
Mizuki Kyoda
Hirohiko Nokiba
Nobuyuki Amemiya
Kosaku Nitta
Ken Tsuchiya
Late-Onset Neutropenia after Rituximab Treatment for Adult-Onset Nephrotic Syndrome
Case Reports in Nephrology
title Late-Onset Neutropenia after Rituximab Treatment for Adult-Onset Nephrotic Syndrome
title_full Late-Onset Neutropenia after Rituximab Treatment for Adult-Onset Nephrotic Syndrome
title_fullStr Late-Onset Neutropenia after Rituximab Treatment for Adult-Onset Nephrotic Syndrome
title_full_unstemmed Late-Onset Neutropenia after Rituximab Treatment for Adult-Onset Nephrotic Syndrome
title_short Late-Onset Neutropenia after Rituximab Treatment for Adult-Onset Nephrotic Syndrome
title_sort late onset neutropenia after rituximab treatment for adult onset nephrotic syndrome
url http://dx.doi.org/10.1155/2019/3580941
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